USA Spex Order Form
Reference
*
Cushion
Please Select
Constructa Shape (1102-WWLL-1SS) MSRP: $1850
Constructa Shape - Wipe Down Cover (1102-WWLL-SSS) MSRP: $2100
Constructa Flex (1102-WWLL-FSS) MSRP: $2450
Constructa Flex - Wipe Down Cover (1102-WWLL-TSS) MSRP: $2700
Not Required
All options E2609
Cushion Size
*
Please Select
1414
1416
1418
1616
1618
1620
1818
1820
2020
2022
Size Width x Depth in Inches
Cushion Prefix
Please Select
1102-
1109-0017-000
Cushion Suffix
Please Select
-1SS
-TSS
-FSS
-SSS
Back Prefix
Please Select
1255-
1256-
Cushion Accessories
Constructa Flexy Contour, for 14" Width Cushions
Constructa Flexy Contour, for 16" Width Cushions
Constructa Flexy Contour, for 18" Width Cushions
Constructa Flexy Contour, for 20" Width Cushions
Back Support
Please Select
Spex Classic (1255-WWHH-0SS)- MSRP: $2850
Supershape (1256-WWHH-0SS)- MSRP: $3350
Not Required
All options E2617
Back Support Size Width x Height
*
Please Select
1414
1416
1418
1420
1616
1618
1620
1623
1718
1720
1723
1818
1820
1823
2018
2020
2023
Size Width x Height in Inches
Back Support Hardware
Please Select
Quad Mount (1259-2400-100)
Power Recline Adaptor Mount (1259-2810-200)
Not Required
All options E1028
Back Support Upgrades
Wipe down Spex/Supershape Back Support outer cover (1208-2949-209) MSRP: $250
TSS Lite Kit
TSS Lite Kit
Back Suffix
Please Select
-0SS
Back Hardware Code
Left Lateral Support Hardware
Please Select
Swingaway (1266-2201-100)- MSRP: $295
Axial (1266-2301-100)- MSRP: $525
Axial Biangular (1266-2501-100)- MSRP: $595
All options E1028
Left Lateral Hardware Code
Left Lateral Support Pad
Please Select
Broad 2 (1266-3032-400) MSRP: $195
Broad 4 (1266-3034-400) MSRP: $195
Narrow Straight 2 (1266-3012-400) MSRP: $195
Biangular (1266-3046-400) MSRP: $245
All options E0956
Lateral Upgrade - Left
Lateral Reinforcement Plate (Left Side)
Left Lateral Pad Code
Right Lateral Support Hardware
Please Select
Swingaway (1266-2201-100) MSRP: $295
Axial (1266-2301-100) MSRP: $525
Axial Biangular (1266-2501-100) MSRP: $595
All options E1028
Right Lateral Hardware Code
Right Lateral Support Pad
Please Select
Broad 2 (1266-3032-400) MSRP: $195
Broad 4 (1266-3034-400) MSRP: $195
Narrow Straight 2 (1266-3012-400) MSRP: $195
Biangular (1266-3046-400) MSRP: $245
All options E0956
Lateral Upgrade - Right
Lateral Reinforcement Plate (Right Side)
RightLateralPadCode
Head Support Hardware
Please Select
Stylo 130 (1274-1232-000) MSRP: $450
Stylo 160 (1274-1252-000) MSRP: $550
Stylo 260 (1274-1282-000) MSRP: $600
All options E1028
Head Support Hardware Code
Head Support Pad
Please Select
Comfort 250 (1275-0031-000)
Comfort 350 (1275-0032-000)
Standard Lateral (1275-0043-000)
Extended Lateral (1244-0031-000)
All options E0955-MSRP: $200
Head Support Pad Code
Head Support Upgrades
Wipe down Head support
BS Upgrades Code
BS Upgrades Code 2
Lat Upgrades Code
Upgrade Lateral C
Head Upgrades Code
Cushion Accessories Code
Submit
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